Customer Handover Certificate

PIM Ref

Order No

Date

Full name

Telephone

Address

Postcode

Description of goods or work completed

Ripon EV charger — model no.

Unit serial no.

Delivered / completed on

Delivered / installed by

Total order value

Deposit paid (if any)

Amount on finance

By signing below, I (the customer named above) confirm that:

The goods listed above have been delivered to me in full, or the service described has been carried out and completed.

The goods / work are as described, complete, and in good and satisfactory condition.

I have inspected the goods / work and have no outstanding complaints, snags or issues.

I understand I have entered into a fixed-term credit agreement with PayItMonthly Ltd to pay for this purchase by monthly instalments.

I authorise PayItMonthly to release payment to the business now that I have received my goods / service.

Customer signature

✍ Sign here

Print name

Date

On behalf of the business

✍ Sign here

Print name

Date

Customer handover certificate · PayItMonthly